No Prior Auth
Claim This Podcastby Lindsay Hill, DNP, PMHNP-BC
Podcast Overview
<p><strong>You don't need permission</strong> to build the career you want. That's the whole point.</p><p>No Prior Auth is a podcast hosted by Lindsay Hill where psychiatric nurse practitioners who've built their own private practices share exactly how they did it. The real version, not the highlight reel.</p><p>Each episode is a conversation that feels like catching up with a friend who already figured out the thing you're losing sleep over. <strong>How they landed their first patients</strong>. What they got wrong with credentialing and billing. How they set their rates, hired their team, and stopped charting at midnight. The business decisions that worked, the ones that didn't, and what they'd do differently if they started over tomorrow.</p><p>If you're a psych NP thinking about going out on your own, already in the early stages, or trying to grow what you've started, every episode gives you something you can actually use. Real strategies from real providers who built it from scratch.</p><p>Lindsay Hill is a psychiatric NP and coach helping NPs scale freedom and impact.</p>
Language
🇺🇲
Publishing Since
4/14/2026
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Recent Episodes
July 14, 2026
Inside Inpatient Psych: The Locked Door Isn't What You Think
<p>I went to school with Andrea Kemp at Arizona State, so I've watched her become one of the sharpest inpatient psych NPs I know. She almost went to law school. Psych won. Eleven years later she runs a step-down unit, teaches in a PMHNP program, and says the thing most people get wrong about inpatient psychiatry starts at the front door.</p><p>That locked door? It isn't there to protect the world from the patients. It's there because someone is not safe, and the unit is where they finally get to be. Most of what you picture from TV is wrong, and Andrea spends this episode setting it straight.</p><p>This is Part 1 of two, and we stay on the unit: what inpatient psych actually is, the medication puzzle she loves solving, and the hardest part of the job — involuntary treatment, and what it means to take someone's autonomy while still treating them like a person. Her rule has stuck with me. A patient may not remember the meds you gave them, but they will always remember whether you talked to them like a human being.</p><p>We also get honest about safety. Andrea has been assaulted on the job, and she doesn't sugarcoat it. It's also, oddly enough, where she met her husband — he stepped in the day a patient's family member threatened her. She talks about all of it without flinching, and about why she still loves this work.</p><p>And because she got hired five months before graduation and negotiated $130,000 as a brand-new grad, she walks through exactly how she pulled it off. If your first job is for learning and not earning, she'll show you how to still get paid while you learn.</p><p>Come back for Part 2, where we get into prepping for clinical and everything she wishes psych NP students knew.</p><p>Go listen. Then tell me what surprised you. — Lindsay</p><p><strong>CONNECT WITH ANDREA</strong> Inpatient-focused community for psych NPs & PAs — launching soon Speaking on NP decision fatigue at the Southwest NP Symposium (Mesa, AZ · late July) [add Andrea's TikTok / community link]</p><p><strong>LISTEN TO NO PRIOR AUTH</strong> 🎥 YouTube: <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez">https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez</a> 🍎 Apple Podcasts: <a target="_blank" rel="noopener noreferrer nofollow" href="https://podcasts.apple.com/podcast/id1893233469">https://podcasts.apple.com/podcast/id1893233469</a> 🎧 Spotify: <a target="_blank" rel="noopener noreferrer nofollow" href="https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym">https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym</a> 🌐 Website: <a target="_blank" rel="noopener noreferrer nofollow" href="https://psychnpfellowship.com/podcast/">https://psychnpfellowship.com/podcast/</a> 👥 Community: <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.skool.com/psych">https://www.skool.com/psych</a></p><p>#PsychNP #PMHNP #InpatientPsych #PsychiatricNursing #MentalHealth #NursePractitioner #PMHNPstudent #NoPriorAuth</p>
July 7, 2026
He Runs Ketamine and TMS — but Wants You on Less Medication
<p>Most of the guests on this show built private practices and never looked back. Ben Egbers is the outlier. He built one in rural Montana, and then he walked away from it.</p><p>Ben came to psychiatry the long way. A psychology and German degree in 2000. Years as a case manager, then teaching English in Europe. An avalanche in the backcountry that he barely survived, and that he dug his best friend out of. A career in pharma he hated, a $60,000 pay cut to go back to bedside psych nursing, and his own recovery from alcohol use disorder — this month he's ten years sober. He didn't finish his nursing doctorate until 2021.</p><p>Today he runs some of the most intensive treatments in the field, deep TMS and ketamine, while holding a belief that sounds almost backwards: the goal is the least medication a person needs, not the most.</p><p>We get into all of it. Why he opened a private practice and then let it go (the billing alone will make you wince). How he partners with therapists in a way that has them telling him "you're the first psychiatric provider who ever called me." What ten years of sobriety taught him about who's actually ready for help. And why he's now stepping back from the interventional work to train in psychodynamic therapy and do something that feels more like him.</p><p>If you've ever felt like an outlier in this field, or like the "right" path just wasn't fitting, this one's for you.</p><p>Go listen. Then tell me which part landed. — Lindsay</p><p><strong>CHAPTERS</strong> 00:00 The cold open 01:09 Meet Ben Egbers 02:40 From a psychology & German degree to psych NP 03:30 The book that hooked him: "An Unquiet Mind" 05:10 Community mental health, then a pivot to Europe 08:30 The avalanche that changed his path 09:55 Hating med-surg and pharma — the 2am misery 12:50 A $60K pay cut back to bedside psych nursing 14:20 Why he's the "outlier": walking away from private practice 21:00 Networking with therapists (and picking up the phone) 24:50 What he hated most: the billing 25:40 Ten years sober: his recovery story 30:40 Being a provider in recovery, and who's ready for help 34:00 Psychodynamics 101: the unconscious and transference 39:40 The fellowship, and training toward therapy 47:10 What "No Prior Auth" means to him</p><p><strong>CONNECT WITH BEN</strong> Axis Integrated Mental Health — Colorado (deep TMS, ketamine) | <a target="_blank" rel="noopener noreferrer nofollow" href="https://axismh.com/">https://axismh.com/</a></p><p></p><p><strong>LISTEN TO NO PRIOR AUTH</strong> 🎥 YouTube: <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez">https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez</a> 🍎 Apple Podcasts: <a target="_blank" rel="noopener noreferrer nofollow" href="https://podcasts.apple.com/podcast/id1893233469">https://podcasts.apple.com/podcast/id1893233469</a> 🎧 Spotify: <a target="_blank" rel="noopener noreferrer nofollow" href="https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym">https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym</a> 🌐 Website: <a target="_blank" rel="noopener noreferrer nofollow" href="https://psychnpfellowship.com/podcast/">https://psychnpfellowship.com/podcast/</a> 👥 Community: <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.skool.com/psych">https://www.skool.com/psych</a></p><p>#PsychNP #PMHNP #InterventionalPsychiatry #Ketamine #TMS #Recovery #Sobriety #Psychodynamic #MentalHealth</p>
June 30, 2026
'The Criticism of NP School Is Sexist' — A Psych NP Fires Back
<p>Nick Goodwin built one of the more interesting psychiatric practices in the country, and he did it on a shoestring. Eight years ago he opened Goodwin Health Cafe in Spokane with $800 for his DEA license, a free fax tool, and a friend's spare office. Today it's a four-provider practice across two locations, built around treatment-resistant depression — Spravato, TMS, and a space designed to feel nothing like a clinic.</p><p>He's also the psych NP who writes the psychiatry courses for The Elite Nurse Practitioner, so he's taught thousands of new NPs both the clinical and the business side of this work. And he came on the show to give it all away.</p><p>We get into the real stuff. How he bootstrapped a practice for almost nothing, and which expenses he'd actually pay for up front. The hiring mistakes that cost him friendships, and the business rule he got from his dad (whose old company inspired the movie Office Space) that he'll never break. His honest read on new grads jumping into private practice, what to do if you're shaky on pharmacology, and the EHR headaches nobody warns you about.</p><p>Then he says the thing a lot of nurse practitioners have been waiting to hear out loud: the constant dunking on NP education is, in his words, "horrifically sexist." He explains why, and it's worth the listen.</p><p>If you're building a practice, thinking about it, or just tired of the gatekeeping, this one's a gift.</p><p>Go listen. Then tell me which part landed. — Lindsay</p><p><strong>CHAPTERS</strong> 00:00 The cold open 01:11 Meet Nick Goodwin & Goodwin Health Cafe 06:24 How he got into psych (his mom and the state hospital) 08:51 Clinical hours vs. running the business 10:49 "The criticism of NP school is sexist" — Nick's take 12:27 What to actually do in your psych NP clinicals 14:43 Opening a practice in 2018 for $800 16:33 The expenses worth paying for on day one 17:08 EHR lessons (and the billing trap to avoid) 18:25 Hiring NPs — and the friendships it cost him 22:00 His dad, "Office Space," and why he'll never take a partner 23:45 Honest advice for new grads going solo 29:33 Becoming the Elite NP psych course creator 31:50 "Get out of here" with the scope-of-practice gatekeeping 39:50 What "No Prior Auth" means to him</p><p><strong>CONNECT WITH NICK</strong> Goodwin Health Cafe — Spokane, WA: <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.goodwinhealthcafe.com/">https://www.goodwinhealthcafe.com/</a> Nick's psychiatry & practice courses at The Elite NP: [add the course links Nick is sending]</p><p><strong>LISTEN TO NO PRIOR AUTH</strong> 🎥 YouTube: <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez">https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez</a> 🍎 Apple Podcasts: <a target="_blank" rel="noopener noreferrer nofollow" href="https://podcasts.apple.com/podcast/id1893233469">https://podcasts.apple.com/podcast/id1893233469</a> 🎧 Spotify: <a target="_blank" rel="noopener noreferrer nofollow" href="https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym">https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym</a> 🌐 Website: <a target="_blank" rel="noopener noreferrer nofollow" href="https://psychnpfellowship.com/podcast/">https://psychnpfellowship.com/podcast/</a> 👥 Community: <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.skool.com/psych">https://www.skool.com/psych</a></p><p>#PsychNP #PMHNP #PrivatePractice #NursePractitioner #Spravato #TMS #MentalHealth #PMHNPlife</p>
14 total episodes available
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Frequently asked questions
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- What is No Prior Auth?
<p><strong>You don't need permission</strong> to build the career you want. That's the whole point.</p><p>No Prior Auth is a podcast hosted by Lindsay Hill where psychiatric nurse practitioners who've built their own private practices share exactly how they did it. The real version, not the highlight reel.</p><p>Each episode is a conversation that feels like catching up with a friend who already figured out the thing you're losing sleep over. <strong>How they landed their first patients</strong>. What they got wrong with credentialing and billing. How they set their rates, hired their team, and stopped charting at midnight. The business decisions that worked, the ones that didn't, and what they'd do differently if they started over tomorrow.</p><p>If you're a psych NP thinking about going out on your own, already in the early stages, or trying to grow what you've started, every episode gives you something you can actually use. Real strategies from real providers who built it from scratch.</p><p>Lindsay Hill is a psychiatric NP and coach helping NPs scale freedom and impact.</p> - How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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